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However, there were some participants still scoring at the floor of the scale despite our targeting items at the lower end of functioning.
With a mean depression location of -2.34 (SD 1.79) the scale is off-target for this sample as the majority are showing little or no depressive symptoms, with 35% at the floor of the scale.
The scale was slightly off target with a mean estimate on the latent variable of stress at -1.03 (SD = 1.35), with just 8% of the sample at the floor of the scale.
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However, there is evidence that some participants still scored at the floor of the scales.
In particular, many have expressed concern about the sensitivity of standardised instruments within the dataset, such as the Functional Assessment Measure [ 9], to reflect the true benefits of rehabilitation – especially in the more dependent patients who tend to fall beneath the floor of this scale.
A qualitative evaluation of people at the floor end of the scale should help to determine whether their experiences could be improved, and will provide an evidence base for future development of the MSRMS.
According to Terwee et al. [ 25] in order to maintain the validity of the contents it is important to verify the absence of accumulation of answers in the floor and ceiling limits of the scale.
I remember being floored by the scale of the place, but I also noticed how pretty, almost dainty it was: the silvery arcs of the Chrysler Building; the dark filigree of Central Park trees glimpsed from a cab window; later, lights twinkling.
Data also were collected on frequency of calibration, age and floor surface beneath the scale.
Furthermore, a loading test on the floor of a full scale 3D mock-up entirely built with sandwich panels was carried out to investigate the service and ultimate behaviour of a real floor.
Based on standard accepted criteria, effects sizes were considered small (0.2), medium (0.5) and large (0.8). [ 21] The percentage of scores on the PedsQL™ Family Impact Module that were at the ceiling (top of the scale) or floor (bottom of the scale) were calculated for each subscale and summary score.
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